| NPI | 1629563655 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: OH RN.480081)  | 
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator | 
| 163W00000X Registered Nurse (Licence: OH RN.480081)  | |
| Enumeration Date | 2018-06-22 | 
| Last Update Date | 2020-08-28 |